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GREAT LAKES PEDIATRIC CARDIOLOGY, PLLC
NPI 1972293967
Pediatrics - Pediatric Cardiology in Sterling Heights, MI

Active since May 11, 2023
43200 DEQUINDRE RD STE 105, STERLING HEIGHTS, MI 48314(248) 780-9490 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, May 11, 2023 (2 updates tracked since 2023).

About Great Lakes Pediatric Cardiology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PEDIATRIC CARDIOLOGY, PLLC (NPI 1972293967) is a healthcare organization registered as a pediatric cardiology in Sterling Heights, Michigan and active in the NPI registry since May 2023. The organization lists Ismael Gonzalez Rangel, Pediatric Cardiologist, as its authorized official.

NPPES Registry Identity

NPI1972293967
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameGREAT LAKES PEDIATRIC CARDIOLOGY PLLC
Location Address43200 DEQUINDRE RD STE 105Sterling Heights, MI 48314-1707
Mailing Address43200 Dequindre Rd Ste 105Sterling Heights, MI 48314-1707 · (248) 780-9490 · Fax (248) 282-0851
Phone(248) 780-9490
Organization SubpartNo
Authorized OfficialIsmael Gonzalez RangelPediatric Cardiologist · (361) 228-5103
Enumeration DateMay 11, 2023
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1972293967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
43200 DEQUINDRE RD STE 105, Sterling Heights, MI 48314
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Other Names 2

Doing Business AsGreat Lakes Pediatric Cardiology, Pllc
Doing Business AsGreat Lakes Pediatric Cardiology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISMAEL ENRIQUE GONZALEZ RANGEL MD
Pediatrics (Pediatric Cardiology)
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (248) 780-9490
GREAT LAKES PEDIATRIC CARDIOLOGY, PLLC
Pediatrics (Pediatric Cardiology)
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (248) 780-9490
EVIAN DAOUD PA
Physician Assistant
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (248) 780-9490
SARAH ELIZABETH GAVIN PA-C
Physician Assistant
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (586) 285-9270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Pediatric Cardiology PLLC's NPI number?

The NPI number for Great Lakes Pediatric Cardiology PLLC is 1972293967. It was assigned to this organization in the NPPES registry on May 11, 2023. The provider is doing business as Great Lakes Pediatric Cardiology, PLLC and Great Lakes Pediatric Cardiology.

Where is Great Lakes Pediatric Cardiology PLLC located?

Great Lakes Pediatric Cardiology PLLC is located at 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314. The listed phone number is (248) 780-9490.

What is Great Lakes Pediatric Cardiology PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

What insurance does Great Lakes Pediatric Cardiology PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Great Lakes Pediatric Cardiology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Pediatric Cardiology PLLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.